CAJ | 학술논문

目的分析老年非小细胞肺癌(NSCLC)患者术后并发症的可能危险因素,探讨围术期的处理措施,以提高手术治疗效果.方法回顾性分析35例老年NSCLC患者的临床资料,对术后并发症的可能危险因素先进行单因素分析,有统计学意义者纳入Logistic回归分析.结果 35例患者术后发生各种并发症10例,占28.6％；死亡1例,占2.9％.Logistic回归分析提示慢性支气管炎史、吸烟史、冠心病史、结核病史、第一秒用力呼气容积(FEV1)、肺叶切除、手术方式是术后并发症的独立危险因素(均P＜0.05).结论正确进行手术前分期,严格掌握手术适应证,选择规范的手术方法,降低手术创伤,加强围术期管理,对老年非小细胞肺癌患者实施外科手术仍能达到令人满意的治疗效果.
목적 분석노년비소세포폐암(NSCLC)환자술후병발증적가능위험인소,탐토위술기적처리조시,이제고수술치료효과.방법 회고성분석35례노년NSCLC환자적림상자료,대술후병발증적가능위험인소선진행단인소분석,유통계학의의자납입Logistic회귀분석.결과 35례환자술후발생각충병발증10례,점28.6％；사망1례,점2.9％.Logistic회귀분석제시만성지기관염사、흡연사、관심병사、결핵병사、제일초용력호기용적(FEV1)、폐협절제、수술방식시술후병발증적독립위험인소(균P＜0.05).결론 정학진행수술전분기,엄격장악수술괄응증,선택규범적수술방법,강저수술창상,가강위술기관리,대노년비소세포폐암환자실시외과수술잉능체도령인만의적치료효과.
Objective To investigate the clinical feature of perioperative management of non-small cell lung cancer(NSCLC) in aged patients and improve the efficacy of surgical treatment.Methods The clinical data of 35 aged patients with NSCLC were retrospectively analyzed.The risk factors of postoperative complications were analyzed by single factor analysis,the factors had statistical significance were included in Logistic regression analysis.Results Postoperative complications occurred in 10 cases,accounting for 28.6％,and 1 case died,accounting for 2.9％.Logistic regression analysis showed that smoking,chronic bronchitis,coronary heart disease,pulmonary lobectomy were independent risk factors of postoperative complications.ConCLusion Correct staging before operation,strict surgical indication,choose the standard surgical method to reduce surgical trauma,strengthen the perioperative management can still achieve satisfactory therapeutic effect in surgical operation for aged patients with NSCLC.